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目的观察胸部火器伤即刻致死者各主要脏器的早期微创病理改变,为胸部火器伤早期救治提供理论参考。方法对14例胸部火器伤即刻致死者进行尸体病理剖解,在远离伤道区取各器官组织,显微镜下观察脑、脊髓、心脏、肺脏、肝脏、肾脏、脾脏、食管等主要脏器的早期微创病理改变。结果胸部火器伤即刻致死者远离伤道区各主要器官肉眼观察未见明显改变;镜下观察可见各脏器组织早期的微创伤主要变化为组织间隙扩张、管道上皮细胞脱落、小出血、淤血及肌肉收缩等。结论胸部火器伤后远离伤道区各主要脏器组织即刻就可出现微创病理改变,救治胸部火器伤时应重视器官微创伤的危害,及早采取积极有效措施保护重要脏器的功能。
Objective To observe the early minimally invasive pathological changes of major organ immediately after the death of chest firearm and provide theoretical reference for early treatment of chest firearm wound. Methods Fourteen cases of immediate death caused by firearm thoracic injury were pathologically dissected. The organs were removed from the injured area. The microscopic examination of the early micro-organs such as brain, spinal cord, heart, lung, liver, kidney, spleen and esophagus Create pathological changes. Results There was no significant change in macroscopic observation of the main organs immediately after the firearm injury to the thorax far away from the injured area. The microscopic examination showed that the main changes of early trauma were the expansion of interstitial tissue, the shedding of epithelial cells, bleeding, congestion And muscle contraction and so on. Conclusion Minimally invasive pathological changes may occur immediately after chest firearm injury in all major organ tissues away from the injury area. In the treatment of chest firearm injuries, attention should be paid to the harm of organ micro-trauma and early and positive and effective measures should be taken to protect the function of vital organs.